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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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Hello Sir, I am a 28 years old female suffering from acute neck and back pain from last 4 years. I have gone through several MRI’s and - which shows cervical disc bulges and degeneration in lumbar and thoracic spine. All my blood tests for HLA B-27, RA factor, Anti CCP, CRP, ENA profile comes out to be negative. Also, physiotherapy does not help at all. Last year, I started feeling pain in lower back which showed annular tear at L5-S1. I was put on pain killers and tryptomer, nortriptyline several times in these 4-5 years. They gave me just temporary relief. My whole back pains a lot and I too feel severe morning stiffness and last year I had a viral fever after that I started getting pain and numbness in hands and feet. Before that I was not having any problem and stiffness in my hands and feet. I checked with a number of doctors who are unable to diagnose the exact reason of my problem. Also, by god grace for the past 3-4 months after a period of break from office and some ayurvedic medicines I was completely relieved from pain and stiffness. I was leading an active life from February 2017-April 2017 without any painkillers and any other allopathic medicines. But suddenly from past 10 days I started feeling acute pain in whole body, back and lower back, hips. 3 months without any medicine and pain and again I am suffering with so much pain and stiffness that I am not able to do daily activities. All the doctors I visited including a known rheumatologist in Delhi saw my reports, MRI etc few months back ruled out any big disease like RA, AS etc. But now pain has come after 3-4 months and this time my lower back, and hips are hurting too much. Please seek your advice as my marriage is getting fixed soon. Last year also, my marriage got cancelled due to the pain and uncertainty that what it could be and again this is happening. Please help.
80 year old female is feeling cold all the time and her temperature is 95-96 °F. It's like the cold is in her bones and her joints ache and she feels numbness too. She has weak bones and has history of fractures so please suggest ways to take care of this.
What is arthritis of the knee?
The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.
What is medial compartment arthritis?
Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee.
How do you diagnose medial compartment arthritis?
ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.
Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.
Who requires surgery?
People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.
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